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SAN .JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Faalrty Kwik Serve B&W Petrol <br />Name: ( Petroleum) <br />Facility Jackson Ave <br />Address: 2501 J, Escalon <br />Inspection <br />Date: Aug 8, 2013 <br />Facility <br />Nofal Mohsin <br />rine. Operator <br />(209)838-3971 <br />Inspection <br />Type: <br />X Routine X Monitoring System Certification Installation ❑ Complaint - ID#: i Other. <br />(Authority HSC 25289) <br />Hassan Ahmed Title: Mana ger <br />Consent for. Xlnspedion XSampling XPhotOS Granted by: g <br />Panel: rg <br />TLS -350 <br />PipingVeeder-Root XPressurized ❑Suction []Gravity <br />System: <br />System: <br />overfill XMechanical Audible/visual <br />Prevention: <br />UST_____1 <br />—_ <br />Product — <br />91 -octane - <br />4 <br />- - - - <br />DSL <br />5 <br />-87-odane <br />------ - - - - - - <br />- - -- <br />- - ---] <br />----------- <br />------------- I <br />-------------- <br />nated <br />to Karen Arnaiz <br />Date:5-31-2015 <br />oeO� <br />violations: L, M1 -Release Detection F� M2 -Release Prevention XM3 - Both <br />On Site Service <br />Technician: Jose Ochoa <br />ICC Exp. Manufacturer'SVM1. 10-3-13 VR: 10-19-2013 <br />Date: 1-20-2014 Training: <br />VIOLATIONS <br /># <br />C1 <br />C2 <br />M <br />I Code Section <br />HSC = Callrfomia Health and Safety Code; CCR = California Code of Regulations <br />C1 = Class 1 violation; C2 = Class 2 violation; M = Minor violation <br />File Review <br />101 <br />HSC 25284 <br />No permit to operate <br />102 <br />HSC 25404.5 <br />Annual operating fees not paid <br />103 <br />HSC 25284(a)(3) <br />No written agreement between the person that the operating permit was issued to and the tank operator to <br />monitor the tank system <br />104 <br />HSG 25292.2 <br />Current financial responsibility documents not on file with the Environmental Health Department (EHD) <br />105 <br />X CCR 2711 <br />Current Unified Program Consolidated Forms not on file with the EHD (Facility and tank form) <br />106 <br />CCR 2632(b) <br />Monitoring Program (Monitoring & Response Plans) is not current or approved by the EHD <br />107 <br />CCR 2632(d)(1)(C) <br />Plot plantsite map not submitted or fails to completely show where monitoring is performed <br />108 <br />CCR 2637 <br />Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (f) test notification <br />not provided to the EHD at least 48 hours prior to conducting the test <br />109 <br />X CCR 2638 <br />Monitoring equipment certification: (a) not performed annually; (d) test report not submitted within 30 days; <br />(e) test notification not provided to the EHD at least 48 hours prior to conducting an installation, repair, <br />replacement, calibration, or certification <br />110 <br />HSC 25291(f) <br />Annual line leak detector test not performed tM1► <br />111 <br />HSC 25284-2 <br />Annual spill containment testing not performed <br />112 <br />CCR 2636(f)(4) <br />Annual line tightness test not performed if positive shutdown or fail safe not present (M1) <br />113 <br />CCR 2715(a) <br />Failed to inform the EHD of a change of designated operator within 30 days <br />114 <br />CCR 2715(b) <br />Designated operator does not possess a current ICC CA UST System Operator certification <br />115 <br />CCR 2660(k) <br />Repair for tank or piping not tested for tightness after completion of the repair pursuant to (1112) <br />rmit conditions <br />116 <br />HSC 25292.5 <br />Enhanced leak detection (ELD) testing not performed on a system located within 1000' of public well, or <br />failures not repaired and retested <br />117 <br />CCR 2661 <br />Permit to repair UST system not obtained <br />118 <br />HSC 25286(a) <br />Operational permit not amended when UST storage and/or monitoring system changed <br />119 <br />HSC 25298(b) <br />Permit to temporarily dose UST system not obtained <br />120 <br />HSC 25298(c) <br />Permit to dose UST system not obtained <br />On Site Records <br />201 <br />CCR 2712(b) <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6 Y2 years, written <br />performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and <br />upgrades for the life of the tank. Monitoring records include: (1) date and time of all monitoring or sampling; <br />(2) monitoring equipment calibration and maintenance records; (3) results of any visual observations; (4) <br />results of sample analysis performed a lab or in the field; (5) logs of all readings of gauges or other monitoring <br />equipment, ground water elevations, or other test results; 6 results of inventory readings and reconciliations <br />202 <br />CCR 2712(i) <br />Monitoring plan, response plan, and/or operating permit and all conditions not onsite <br />203 <br />CCR 2650 <br />Unauthorized release that: (c) did not escape secondary containment and cleaned up within eight hours (M1) <br />was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a sudden loss of <br />product was not reported to the EHD within 24 hours <br />Inspector Received By: Title: <br />Elena Manzo (209) 953-7699 <br />Gun iz-m ao„ ndi1oi» Pane 1 651T INSPECTION REPOR <br />